Speech Therapy Generalization: Boosting Self-Awareness to Increase Carry-Over
In episode 25 of the Speech and Language Kids Podcast, speech-language pathologist Carrie Clark discusses how to increase self-awareness and carry-over skills for children who do not pay attention to if they are saying things correctly or not.
What is Self-Awareness?
Self-awareness refers to a child’s ability to monitor himself to determine if he is doing something correctly. In terms of speech and language skills, we look for self-awareness with the speech and language errors that the child is producing. For example, if a child doesn’t say “s” correctly in conversational speech, we want to know if the child is aware that he is saying it incorrectly. Most of the time with speech errors, the child is not at all aware that he is producing it incorrectly. In contrast, children who have significant stutters are often painfully aware that they are stuttering and become very embarrassed by it.
What is Carry-Over?
Carry-over refers to a child’s ability to take a skill that she has learned in an isolated setting (like speech therapy) and begin to use it in other settings, such as in the classroom and at home. Once we teach a child to do a skill on command, we must then teach her to carry-over that skill to the rest of her life.
How Does Self-Awareness Improve Carry-Over?
If a child is not aware that he is doing something incorrectly, it is very, very difficult for him to fix it. Children must develop a level of self-awareness before they are able to monitor and change their behavior. If you are working with a child who can do a skill (for example, say the target sound) brilliantly in speech therapy or practice sessions, but who struggles to remember to use it during every-day activities, he may be lacking self-awareness.
How to Improve Self-Awareness:
- Record the child doing the skill as well as times whens she doesn’t do it. Play the recordings back to the child and have her tell you whether it was correct or incorrect.
- Have the child perform the skill for you at a level that he sometimes struggles with. This may be when answering open-ended questions or retelling past events if he’s able to do the skill in simple sentences well. After each time the child attempts the skill, put your thumb up or down behind a large object (or under the table) based on if it was correct or incorrect. Have the child guess, based on his performance, if you rated it correct or incorrect. Then, show the child your hand to see if he was correct.
- Provide a positive reinforcement system for when the child remembers to use the skill on his own. Provide intermittent reinforcement (don’t praise every good time, just some) and track the child’s progress so he can work toward a goal. You can download my Speech Sound Carry-Over Challenge to use at home or send home with your families:
About the Author: Carrie Clark, MA CCC-SLP
Hi, I’m Carrie! I’m a speech-language pathologist from Columbia, Missouri, USA. I’ve worked with children and teenagers of all ages in schools, preschools, and even my own private practice. I love digging through the research on speech and language topics and breaking it down into step-by-step plans for my followers.
Fun Fact: When my son was three, he once got mad at me and told me he was going to send me to Antarctica in nothing but a t-shirt. He had an overly large vocabulary for a 3-year-old….along with an overly large amount of sass. He still has both to this day.
Connect with Me:
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I would like to receive the Speech Sound Carry-over Challenge.
I just sent it to your email address. Please let me know if you don’t get it by emailing me at speechandlanguagekids@gmail.com Thanks!
when I click on the yellow button, I get an error message.
can you please send it to my email address?
thanks.
I sent it to your email, sorry about that!
These are great ideas!
Thank you! I’m glad you enjoyed them!
Thank you – these are very helpful ideas!
Hello! My 10 year old was just diagnosed with ADHD, but I have noticed for quite a while that she seems to have very little self awareness. She is constantly in her own world and doesn’t seem to realize it. She isn’t even bothered about getting in trouble for it while she is at school. I was wondering if you think that this challenge that you have provided might work to help her self regulate, instead of needing the constant prompting from frustrated teachers.
Hi! I think this approach could work but it would need to be modified. You would need to have a specific task that you are teaching, such as making eye contact while someone else is talking, or something else that would indicate to you that she is tuned in. You can’t just say “you need to be tuned in”, give her a specific task that she has to do and track that. Does that make sense?
Hi. I would like to get the speech sound carryover challenge but it doesn’t seem to work when I click the yellow button. Could you e-mail it. Really enjoying these posts. Very helpful.
Thanks Julie
Ok, I emailed it to you. Let me know if you have any trouble!
could the therapist just repeat the utterance in in place of a recording? Child said awdonado. Therapist awdonado? or I am going to go? Is this a correct therapy method?
How would you write self-awareness (episode 25) into an IEP goal?
Hello, Cathy!
Thank you so much for reaching out. Unfortunately, we get a ton of questions every day about how to solve specific speech/language problems. Since we have such a small staff, we aren’t able to answer every question that comes through on the website, social media, or via email. If you are a parent, we suggest you reach out to a local speech-language pathologist who can work with your child directly and answer your question.
If you are another speech-language professional, we have created a membership where we pay a full staff to answer questions like this on a regular basis. We would be more than happy to answer your question inside the membership program. We’re able to answer more questions in here because we have a full library of questions that we’ve already answered so our staff can either link you to the answer if it exists, or write you a custom response if needed. We’d love to see you inside the membership!
Click Here to Become a Member: https://www.slpsolution.com/pediatric-signup/